Evidence map›Paper›PMID 32008720›Full record

ArticleAmerican journal of surgery2020

Using appropriateness criteria to identify opportunities to improve perioperative urinary catheter use.

Ana C De Roo, Samantha Hendren, Jessica M Ameling, Jennifer Meddings

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ana C De RooDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA; Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA. Electronic address: aderoo@med.umich.edu.
Samantha HendrenDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA; Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.
Jessica M AmelingDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Patient Safety Enhancement Program for the University of Michigan and VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Jennifer MeddingsDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Medicine, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Patient Safety Enhancement Program for the University of Michigan and VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

Funding

Health Services Research Training Years 32-36T32HS000053 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HIRTH, RICHARD A · 1992 to 2024
$7.3M
Enhancing Patient Safety through Cognition & Communication: The "M-Safety Lab"P30HS024385 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SAINT, SANJAY K · 2015 to 2015
$4.0M
Models of hospital-acquired conditions and readmission: defining at-risk patientsR01HS018334 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCMAHON, LAURENCE F · 2010 to 2019
$3.7M
Targeting Hospital-Acquired Complications: Impact on the Care of Complex PatientsK08HS019767 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEDDINGS, JENNIFER ANN · 2010 to 2014
$758k
AHRQ HHS K08 HS019767AHRQ HHS P30 HS024385AHRQ HHS R01 HS018334AHRQ HHS T32 HS000053
6 · The paper itself

Abstract

backgroundThe Michigan Appropriate Perioperative (MAP) criteria provide guidance regarding urinary catheter use. For Category A (e.g., laparoscopic cholecystectomy), B (e.g., hemicolectomy), and C (e.g., abdominoperineal resection) procedures, recommendations are to avoid catheter, remove POD 0 or 1, and remove POD 1-4, respectively. We applied MAP criteria to statewide registry data to identify improvement targets.

methodsRetrospective cohort study of risk-adjusted catheter use and duration for appendectomy, cholecystectomy, and colorectal resections in 2014-2015 from 64 Michigan hospitals.

results5.5% of 13,032 Category A cases used urinary catheters, including 26.9% of open appendectomies. 94.5% of 1,624 Category B cases used catheters (31.2% remained after POD 1). 98.3% of 700 Category C cases used catheters (4.6% remained POD5+). Variation in duration of use persisted after risk adjustment.

conclusionsPerioperative urinary catheter use was appropriate for most simple abdominal procedures, but duration of use varied in all categories.

Indexed as

AdultAgedAppendectomyCholecystectomyCohort StudiesDigestive System Surgical ProceduresFemaleHumansMaleMiddle AgedPractice Guidelines as TopicProcedures and Techniques UtilizationRetrospective StudiesUrinary CatheterizationAppropriatenessGeneral surgeryPatient safetyPerioperative careUrinary catheter

Identifiers

PMID32008720
PMCPMC7668235

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.